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ANATOLI PATARIDOU
Head & Neck Otolaryngologist - Pediatric ENT
ENT CONDITIONS - SURGERIES
BLOG - MEDIA
Revive yourself by breathing properly.
If you ever consider how important it is to feel well during the day, especially in demanding times when we wish that the day had 48 hours, then you should realize what a major role proper and unobstructed breathing through the nose plays, because it is one of the most decisive factors for the proper oxygenation of the body. Our nose is a very important organ that filters the air we breathe from dust, incoming viruses, bacteria, and it also heats and moistens it in order for it to be ready for the lungs.What is the deviated nasal septum
The nasal septum is the wall between the nostrils that separates the two nasal passages, and it consists of a bony part and a cartilaginous part. The deviated septum blocks the normal passage of air through the nose. The resultapart from the common feeling of stuffiness, which the patient gets used to because he doesn’t have a comparative measure-is for some symptoms such as fatigue, headache, frequent (dry) cough, problems with the ears etc. to become permanent. I have operated on many patients that suffered from panic attacks and also had a deviated nasal septum. After surgery they realized that the panic attacks had not been caused by stress, but from a lack of air.What is the latest surgical treatment
With endoscopic surgery all the damaged anatomical areas can be repaired, especially the posterior bony part, which is not visible with any other method. The surgery may be carried out along with other procedures to treat chronic sinusitis, bleeding, to correct sleep apnea, remove nasal polyps and turbinectomy.What are the advantages
There is no pain, swelling or bruising and the patient can return almost immediately to work postoperatively. Healthy, young people in particular, do not normally have to be hospitalized at all.What would you advise our readers
In terms of well-being and positive mood, the quality of everyday life is of primary importance. Consequently, it is vital, if we can find a drastic solution to some problems, to take the decision immediately. As for the deviated nasal septum, I would like to share what my patients ask me postoperatively: “Doctor, is this how other people breathe”?
SLEEP IS VERY IMPORTANT. DR. ANATOLI PATARIDOU GIVES ADVICE ON HOW TO SLEEP IN PEACE.
What is snoring
It is a respiratory sound generated during sleep, due to the vibration of the walls of the oropharynx due to partial obstruction in the air passages. Snoring does not stay constant, either in intensity nor in effects; it develops and from an innocent occurrence it can become hazardous and may even lead to apnoea. Apnoea is the cessation of breathing during sleep for at least 10 seconds, and can cause significant damage to the heart and the circulatory system, such as hypertension and arrhythmia.Symptoms
Morning drowsiness, headaches throughout the day, fatigue, behavioural disorders, hypertension, arrhythmia and in children, nocturnal urination, concentration problems, bulimia and impact on growth.Diagnosis
In small children, a full endoscopic test will establish the presence of enlarged adenoids and tonsils and any rare cases, such as choanal atresia, all of which require surgical treatment. In adults, the tests confirm the presence of a deviated septum, turbinate hypertrophy, polyps, large tonsils, long palatine uvula, soft palate hypertrophy and bizarrely shaped epiglottis, which will help determine the type of surgical treatment required. Depending on the severity of the symptoms, some patients may undergo further examinations that include nocturnal oximetry, sleep endoscopy (to determine the level of obstruction) and even a sleep study.Treatment of snoring-apnoea
Treatment can be conservative with the application of positive airway pressure mask or surgery, or a combination. Latest research shows in the case of problems involving snoring and light apnoea, surgical treatment with pharyngoplasty or surgery at the base of the tongue, the epiglottis or the nose can give permanent solutions. Even in more serious cases, there is improvement in the application of the airway pressure mask and the patient’s daily performance. In addition, because many patients give up on the mask, if they undergo surgery then that ensures an important degree of improvement.Developments in the surgical treatment of apnoea
Endoscopic surgery ensures the permanent and painless improvement of nasal problems, with high levels of safety for patients. The use of the Da Vinci robotic system for tongue hypertrophy surgery, with its 3-dimentional camera, has clear advantages for the patient, including preventing tracheostomy, better healing and easier swallowing.
The sea and its miraculous effects on the respiratory system. Engaging with sports and especially water sports have a beneficial effect on chronic respiratory diseases. After practising medicine for so many years, what I find worrying is that despite all the developments, there is a great increase in morbidity. In the speciality of Otorhinolaryngology, patients with allergic rhinitis, sinusitis, polyps, obstructive apnea, as well as malignancies in the mouth, pharynx and larynx areas have increased. Beneficial water sports: engaging with sport is the most important activity for our body’s good health. They make bodily forces develop alongside with mental functions and increased euphoria. Especially engaging in water sports can provide us with much more, combining exercise with contact with the aquatic element, exercising the entire body and promoting our mental health through direct contact with nature. Our contact with water also helps to make the most natural nasal lavage and this heals chronic problems of the upper respiratory tract or keeps them on a stable level without complications and intense symptoms. A better health profile: These sports also have a beneficial effect on chronic respiratory diseases. Saltwater has a high content in beneficial ingredients, it reduces morbidity, while changing the profile of chronic diseases, such as allergies and sinusitis, for children and adults. The importance of prevention: the “key”, thus, to a good health is prevention. The energy supplies that we have received from our summer vacation let us react more holistically to the increase in morbidity, with radical changes in our daily life.
ΕNDOSCOPIC EVALUATION CASTS LIGHT ON THE VOICE’S AILMENTS The voice is one of the main ways of communicating and a part of our personality. As the larynx is responsible for the functions of phonation, swallowing and respiration every inflammation of the larynx and pharynx can affect the quality of our voice. A hoarse voice may be caused by laryngitis, gastroesophageal reflux, smoking, alcohol, air conditioning, talking loudly or inhaling irritants. Recently, endoscopic evaluation in combination with stroboscopy has led to a more comprehensive diagnosis of the pathology of the larynx. The most common findings are polyps of the vocal cords, nodules, cysts, Reinke’s oedema, papilloma and less often cancer. The appropriate treatment is usually a combination of pharmaceutical and surgical treatment. Nowadays minimally invasive surgery by means of endoscopic laser surgery and robotic surgery is the best choice for benign and early stages of larynx cancer.
As Hippocrates said millennia ago, the most important contribution that medicine has made to humanity is relief from pain, disease and fear. Nonetheless, despite the amazing developments in modern medicine, patients often postpone necessary surgery, mainly due to the fear of postoperative pain and discomfort. For this reason, all surgical specialties today seek to achieve the same outstanding therapeutic effects for their patients with minimally invasive surgery (MIS). The advantage of MIS over classic open-surgery methods is that the target organ and the surrounding healthy tissue are affected to the least extent possible. Head and neck surgery in particular has seen great progress recently, thanks to the application of modern endoscopic techniques. Requiring no external incisions, endoscopic surgery of the nose and paranasal sinuses represents a much more desirable treatment for diseases and/or conditions such as sinusitis (chronic or acute), nasal polyps, benign (and even some malignant) tumors, and cases of deviated nasal septum. Using magnification and illumination in association with powered surgical instruments and anatomical navigation systems, the surgeon has the ability to treat patients more effectively and with less risk of complications. This is extremely important, especially in surgery on children. In cases of adenoidectomy and tonsillectomy, this approach also ensures full removal of the tissue in question. Other common ENT problems in children that can be treated with the new endoscopic techniques are choanal atresia and chronic rhinosinusitis. Transoral endoscopic laser surgery in the throat area has radically changed the treatment of benign diseases, as well as early-stage cancers. This new technique has two main advantages for the patient: it is an alternative to a tracheostomy, and it can be repeated in cases of local recurrence, particularly in patients with glottic cancer. In recent years, the use of three-dimensional cameras in transoral robotic surgery in otorhinolaryngology has enabled a more precise estimation of the anatomical structure and the depth of the surgical site. In addition, wristed instruments and robotic surgery offer better access to hidden points of the upper airway. Such surgery is now recommended for benign diseases such as obstructive sleep apnea and for the early stages of pharynxand larynx cancer. It has also begun to play a very important role in exploring head and neck cancer with unknown primary sites. The major advantage of robotic surgery for the patient is that it involves less postoperative edema, pain, bleeding or difficulty in swallowing. I would highly recommend these new surgical techniques involving atraumatic interventions, because they mean less bleeding,less pain, shorter surgeries and faster postoperative healing for the patient.
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